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1053315598

NPI Code Detail

MEDICARE: TIMOTHY R HEATH MD

MEDICARE: TIMOTHY R HEATH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	H9984	TX
2	207R00000X	Internal Medicine Physician	H9984	TX
3	208M00000X	Hospitalist Physician	H9984	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00828165	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8BQ004	OTHER	TX	BCBS
4	8CR923	OTHER	TX	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	035070440	OTHER	TX	TMHP-CSHCN

General Provider Information

NPI Number	:	1053315598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY R HEATH MD

Provider Business Mailing Address
First Line	:	1133 JOHN FREEMAN BLVD STE JJLS80
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2809
Country	:	US
Telephone Number	:	713-500-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5656 KELLEY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77026-1967
Country	:	US
Telephone Number	:	713-566-5100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	10/19/2023

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Directions to “ TIMOTHY R HEATH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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